巴西一家急救服务机构中护理诊断准确性的评估
Evaluation of the accuracy of nursing diagnoses in a Brazilian emergency service.
作者信息
Marini Maiko, Chaves Enaura Helena Brandão
机构信息
Federal University of Rio Grande do Sul in Porto Alegre, Rio Grande do Sul, Brazil.
出版信息
Int J Nurs Terminol Classif. 2011 Apr-Jun;22(2):56-67. doi: 10.1111/j.1744-618X.2010.01175.x.
PURPOSE
The study aims to verify the accuracy of 10 prevalent nursing diagnoses (NDs) in the emergency service of a Brazilian university hospital.
METHODS
The accuracy of 10 prevalent diagnoses was evaluated using the Lunney (1990) scale. The evaluation was based on data recorded from patient charts by nurses. Each diagnosis was evaluated in three separate clinical instances, resulting in a total of 30 evaluations.
FINDINGS
The evaluation characterized 24% (7) of the NDs as highly accurate, while 76% (23) were considered to be of low accuracy.
CONCLUSION
The low levels of accuracy detected in some diagnoses highlight the need for nurses to develop skills in accurately applying the diagnostic process involving the use of NDs. However, in order to confirm (or not) the observed low levels of diagnostic accuracy, studies with larger sample sizes should be carried out. This is essential as it is recommended that care processes be supported by knowledge about accuracy.
IMPLICATIONS FOR NURSING PRACTICE
Educational interventions should be implemented that hone the ability to make accurate NDs in clinical nursing practice. Further studies are also needed to evaluate the accuracy of NDs elaborated by nurses in different clinical contexts.
目的
本研究旨在验证巴西一家大学医院急诊科10种常见护理诊断（NDs）的准确性。
方法
采用伦尼（1990年）量表评估10种常见诊断的准确性。评估基于护士从患者病历中记录的数据。每种诊断在三个不同的临床实例中进行评估，总共进行了30次评估。
结果
评估结果显示，24%（7种）护理诊断为高度准确，而76%（23种）被认为准确性较低。
结论
部分诊断的低准确性凸显了护士需要提高准确应用涉及护理诊断的诊断过程的技能。然而，为了证实（或否定）观察到的低诊断准确性水平，应开展更大样本量的研究。这至关重要，因为建议护理过程要有关于准确性的知识支持。
对护理实践的启示
应实施教育干预措施，提高临床护理实践中做出准确护理诊断的能力。还需要进一步研究评估护士在不同临床背景下制定的护理诊断的准确性。
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